Michiura Toshiya, Yamabe Kazuo, Hayashi Nobuyasu, Miyazaki Yasuaki, Sugimoto Satoshi, Kojima Kensuke, Nagaoka Makio
Dept. of Surgery, Kinan Hospital.
Gan To Kagaku Ryoho. 2016 Nov;43(12):2265-2267.
A36 -year-old man with intellectual disabilities consulted a local physician complaining of a cough, and an abdominal mass was observed on palpation. The patient visited our hospital for close examination. Abdominal contrasting CT revealed a mass with a clear boundary with heterogeneous contrast on the left side of his abdominal cavity. We performed a laparotomy and observed that the tumor originated from the greater omentum. The tumor size was 9×8×6 cm and its weight was 200 g. Histopathologic examination showed hyperplastic spindle-shaped tumor cells with less nuclear fission. Immunohistochemical staining showed that the tumor was positive for CD34, CD99, and bcl-2, slightly positive for p53, and negative for S-100, a- SMA, c-kit, and desmin. Based on the results, a diagnosis of solitary fibrous tumor (SFT) was made. The patient has not shown any recurrence 8 months after surgery.
一名36岁的智障男子因咳嗽咨询当地医生，触诊时发现腹部有肿块。患者前来我院进行详细检查。腹部增强CT显示腹腔左侧有一个边界清晰、造影不均匀的肿块。我们进行了剖腹手术，发现肿瘤起源于大网膜。肿瘤大小为9×8×6厘米，重量为200克。组织病理学检查显示梭形肿瘤细胞增生，核分裂较少。免疫组织化学染色显示肿瘤CD34、CD99和bcl-2呈阳性，p53呈弱阳性，S-100、α-SMA、c-kit和结蛋白呈阴性。根据这些结果，诊断为孤立性纤维瘤（SFT）。患者术后8个月未出现任何复发情况。
